FRAUD, WASTE, AND ABUSE
COMPETENCY EXAMINATION
⩥ Under ACA Section 1557, a health plan premium sold through a state
exchange may, based on an individual's age and. Answer: charge higher
premiums.
⩥ As a result of violations of ACA Section 1557 nondiscrimination
rules, Answer: a health plan may revoke an agent or broker's
appointment with the health plan.
⩥ ACA Section 1557 rules for disability concern. Answer: policies and
procedures, physical access, and communication.
⩥ Which Medicare programs are covered by ACA Section 1557 under
the Biden Administration's Final Rule (2024)? Answer: Parts A, C, and
D, and Part B.
⩥ Which of the following statements best describes Section 1557 of the
Affordable Care Act (ACA)? Answer: Section 1557 incorporates earlier
civil rights protections in regard to race, color, national origin, disability,
age and sex.
⩥ Section 1557 of the Affordable Care Act applies to. Answer: all health
programs and activities administered by or receiving federal financial
assistance from HHS.
, ⩥ Which of the following would be considered permissible under
Section 1557? Answer: Broker Mary Jones has recruited a diverse
workforce. She encourages her agents to prospect through community-
based marketing and within their community of influence.
⩥ Which of these actions is most likely to be permitted in dealing with a
person with limited English proficiency? Answer: Allowing a child to
interpret in an emergency.
⩥ Which of the following statements best describes the scope of
operations subject to Section 1557 under the Final Rule (2024) of the
Biden Administration? Answer: Entities principally engaged in health
care, which includes health insurers, must comply with Section 1557 for
all programs they offer.
⩥ For a health plan, what are the possible consequences of violations of
ACA Section 1557? Answer: Loss of federal business and compensatory
damages.
⩥ Auxiliary aids and services must be provided to individuals with
disabilities, such as those suffering from vision or hearing impairments,
free of charge, and in a timely manner. Auxiliary aids and services
include which of the following:
I. large print materials
II. qualified sign language interpreters
III. braille materials and displays
COMPETENCY EXAMINATION
⩥ Under ACA Section 1557, a health plan premium sold through a state
exchange may, based on an individual's age and. Answer: charge higher
premiums.
⩥ As a result of violations of ACA Section 1557 nondiscrimination
rules, Answer: a health plan may revoke an agent or broker's
appointment with the health plan.
⩥ ACA Section 1557 rules for disability concern. Answer: policies and
procedures, physical access, and communication.
⩥ Which Medicare programs are covered by ACA Section 1557 under
the Biden Administration's Final Rule (2024)? Answer: Parts A, C, and
D, and Part B.
⩥ Which of the following statements best describes Section 1557 of the
Affordable Care Act (ACA)? Answer: Section 1557 incorporates earlier
civil rights protections in regard to race, color, national origin, disability,
age and sex.
⩥ Section 1557 of the Affordable Care Act applies to. Answer: all health
programs and activities administered by or receiving federal financial
assistance from HHS.
, ⩥ Which of the following would be considered permissible under
Section 1557? Answer: Broker Mary Jones has recruited a diverse
workforce. She encourages her agents to prospect through community-
based marketing and within their community of influence.
⩥ Which of these actions is most likely to be permitted in dealing with a
person with limited English proficiency? Answer: Allowing a child to
interpret in an emergency.
⩥ Which of the following statements best describes the scope of
operations subject to Section 1557 under the Final Rule (2024) of the
Biden Administration? Answer: Entities principally engaged in health
care, which includes health insurers, must comply with Section 1557 for
all programs they offer.
⩥ For a health plan, what are the possible consequences of violations of
ACA Section 1557? Answer: Loss of federal business and compensatory
damages.
⩥ Auxiliary aids and services must be provided to individuals with
disabilities, such as those suffering from vision or hearing impairments,
free of charge, and in a timely manner. Auxiliary aids and services
include which of the following:
I. large print materials
II. qualified sign language interpreters
III. braille materials and displays
